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Posterior tibial tendonitis

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https://www.readbyqxmd.com/read/28979585/posterior-tibial-tendon-dysfunction-an-overview
#1
Samuel Ka-Kin Ling, Tun Hing Lui
BACKGROUND: Adult acquired flatfoot deformity is a commonly seen condition with a large clinical spectrum. It ranges from asymptomatic subjects to severely disabled arthritic patients. Posterior tibialis tendon dysfunction is a common cause of adult acquired flatfoot deformity. METHODS: This article systematically reviews the published literature from books and journals that were either originally written or later translated into the English language regarding the subject of posterior tibialis tendon dysfunction...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/28970981/adjustable-button-devices-for-all-arthroscopic-posterior-cruciate-ligament-reconstruction-using-the%C3%A2-hamstrings-tendons-and-the-forgotten-transseptal-approach
#2
Paul Brossard, Achilleas Boutsiadis, Jean-Claude Panisset, Frédéric Mauris, Johannes Barth
Posterior cruciate ligament (PCL) ruptures account for nearly 20% of all ligamentous knee injuries. These may be either isolated or in the setting of a more complex knee trauma. Isolated tears with moderate posterior laxity (grades I or II) are commonly treated conservatively; nevertheless, symptomatic grade III injuries frequently require surgical intervention. PCL reconstruction remains a challenging surgery for multiple reasons like the neurovascular structures' proximity, the difficult passage of the graft with the "killer turn" angle, or the risk of poor graft fixation...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28952799/biomechanical-consequences-of-subtalar-joint-arthroereisis-in-treating-posterior-tibial-tendon-dysfunction-a-theoretical-analysis-using-finite-element-analysis
#3
Duo Wai-Chi Wong, Yan Wang, Tony Lin-Wei Chen, Aaron Kam-Lun Leung, Ming Zhang
Subtalar joint arthroereisis (SJA) has been introduced to control the hyperpronation in cases of flatfoot. The objective of this study is to evaluate the biomechanical consequence of SJA to restore the internal stress and load transfer to the intact state from the attenuated biomechanical condition induced by posterior tibial tendon dysfunction (PTTD). A three-dimensional finite element model of the foot and ankle complex was constructed based on clinical images of a healthy female (age 28 years, height 165 cm, body mass 54 kg)...
September 27, 2017: Computer Methods in Biomechanics and Biomedical Engineering
https://www.readbyqxmd.com/read/28916912/morphological-changes-in-tibial-tunnels-after-anatomic-anterior-cruciate-ligament-reconstruction-with-hamstring-tendon-graft
#4
Tomoki Ohori, Tatsuo Mae, Konsei Shino, Yuta Tachibana, Kazuomi Sugamoto, Hideki Yoshikawa, Ken Nakata
BACKGROUND: Three-dimensional (3D) reconstructed computed tomography (CT) is crucial for the reliable and accurate evaluation of tunnel enlargement after anterior cruciate ligament (ACL) reconstruction. The purposes of this study were to evaluate the tibial tunnel enlargement at the tunnel aperture and inside the tunnel and to clarify the morphological change at the tunnel footprint 1 year after the anatomic triple-bundle (ATB) ACL reconstruction using 3D CT models. METHODS: Eighteen patients with unilateral ACL rupture were evaluated...
September 15, 2017: Journal of Experimental Orthopaedics
https://www.readbyqxmd.com/read/28840670/-adult-experience-with-the-tibialis-posterior-transposition-to-the-center-of-the-foot-in-neuromuscular-disease
#5
P Parra-Téllez, H Jiménez-López, E López-Gavito, J Vázquez-Escamilla
The transfer of the posterior tibial tendon to the center of the dorsum of the foot is a method used to achieve dorsiflexion in flaccid paralysis of the anterolateral leg muscles or muscular imbalance of clubfoot. OBJECTIVE: To describe functional results back to the surgical procedure for transposition of posterior tibial the center of the foot. MATERIAL AND METHODS: The study design was observational, descriptive, transversal, ambispective with a description of the world of work patients with impaired dorsiflexora foot muscles and impaired gait in the period January 2008 to December 2014...
March 2017: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/28779813/severe-stage-2-fuse-or-reconstruct
#6
REVIEW
Scott B Shawen, Theodora C Dworak
Stage II posterior tibial tendon dysfunction encompasses a wide range of patients with varying degrees of deformity and function. The spectrum of patients can be difficult to treat with a single surgical approach, as evidenced by the wide range of techniques present in the literature. Severity of the deformity, patient functional level, age, and comorbidities must be considered to determine the best course of treatment. This article examines when fusion versus reconstruction is the appropriate treatment of patients with severe stage II posterior tibial tendon dysfunction and its subclassifications...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28779804/what-to-do-with-the-spring-ligament
#7
REVIEW
Brian Steginsky, Anand Vora
The spring ligament complex is an important static restraint of the medial longitudinal arch of the foot and its failure has been associated with progressive flatfoot deformity. Reconstruction of the spring ligament complex is most appropriate in stage II posterior tibial tendon dysfunction, before severe peritalar subluxation and rigid deformity develops. Although an understanding of the spring ligament complex and its contribution to medial arch stability has grown, there is no unanimously accepted surgical technique that has consistently demonstrated satisfactory outcomes...
September 2017: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/28755303/-degeneration-of-the-posterior-tibial-tendon-established-and-new-concepts
#8
REVIEW
Markus Walther
BACKGROUND: The most common cause of degeneration of the posterior tibial tendon is a congenital valgus deformity of the calcaneus. Other associated pathologies are forefoot supination, forefoot abduction and shortening of the gastrocnemius muscle. DIAGNOSTICS: Loaded x‑rays of the foot in three planes as well as the hindfoot alignment view enable evaluation of the axis of the foot under static loading conditions. The posterior tibial tendon can be imaged with ultrasound and magnetic resonance imaging (MRI)...
July 28, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28753397/lateral-meniscal-allograft-transplant-via-a-medial-approach-leads-to-less-extrusion
#9
Nam-Hong Choi, Jeong-Ki Choi, Bong-Seok Yang, Doe-Hyun Lee, Brian N Victoroff
BACKGROUND: Accurate positioning of the bony bridge is crucial to prevent extrusion of meniscal allografts after transplant. However, oblique or lateralized placement of the bony bridge of the lateral meniscal allograft may occur due to technical error or a limited visual field. The patellar tendon may be an obstacle to approaching the anterior horn of the lateral meniscus, resulting in a laterally placed allograft. Therefore, lateral meniscal transplant through a medial arthrotomy would be an alternative approach...
October 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28748492/calcium-phosphate-hybridized-tendon-grafts-reduce-femoral-bone-tunnel-enlargement-in-anatomic-single-bundle-acl-reconstruction
#10
Hirotaka Mutsuzaki, Tomonori Kinugasa, Kotaro Ikeda, Masataka Sakane
PURPOSE: This study aimed to clarify the effect of calcium phosphate (CaP)-hybridized tendon grafting versus unhybridized tendon grafting on the morphological changes to the bone tunnels at the aperture 1 year after anatomic single-bundle anterior cruciate ligament (ACL) reconstruction. METHODS: Seventy-three patients were randomized to undergo the CaP (n = 37) or the conventional method (n = 36). All patients underwent computed tomography (CT) evaluation 1 week and 1 year post-operatively...
July 26, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/28726265/how-to-harvest-the-greatest-length-of-tibialis-posterior-tendon-for-tendon-transfer-a-cadaveric-study
#11
Korakot Thamphongsri, Thos Harnroongroj, Atthakorn Jarusriwanna, Bavornrit Chuckpaiwong
In anterior transfer of the tibialis posterior tendon, the tendon was harvested using two incisions, the first at its attachment point on the navicular bone and second on the medial side of the leg above the medial malleolus. To provide the maximum tendon length, the second incision needs to be as proximal as possible but injury to the muscle origin must be avoided. The purpose of this study is to establish the location of the second incision that yields the greatest tendon length. Forty-five unpaired embalmed cadaveric legs were dissected...
July 20, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28698915/surgical-treatment-of-stage-ii-posterior-tibialis-tendon-dysfunction-ten-year-clinical-and-radiographic-results
#12
Alberto Ruffilli, Francesco Traina, Sandro Giannini, Roberto Buda, Fabrizio Perna, Cesare Faldini
INTRODUCTION: Grade II chronic tibialis posterior tendon dysfunction (PTTD) poses a reconstructive challenge to the orthopaedic surgeon. Aim of this retrospective study is to report the clinical and radiographical results of a case series of 63 patients (102 ft) affected by grade II PTTD who underwent tailored surgical treatment at 10-year mean follow-up. MATERIALS AND METHODS: Sixty-three patients (102 ft) were available for clinical and radiological evaluation and were retrospectively reviewed at a mean follow-up of 125...
July 11, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/28697881/incarceration-of-the-posterior-tibial-tendon-in-an-isolated-comminuted-medial-malleolus-fracture
#13
David Jaffe, Matthew W Christian, Annie Weber, R Frank Henn
Isolated medial malleolar fractures are a less common presentation of an ankle fracture. Treatment is not universally accepted, although many have agreed that any displacement warrants anatomic reduction and fixation. We present a case of an isolated, comminuted medial malleolar fracture that was displaced secondary to entrapment of the posterior tibial tendon between the fracture fragments requiring surgical intervention. The patient was treated with prompt open reduction and internal fixation and had an excellent functional outcome at 1 year...
July 8, 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/28656170/anatomic-spring-ligament-and-posterior-tibial-tendon-reconstruction-new-concept-of-double-bundle-ptt-and-a-novel-technique-for-spring-ligament
#14
Alireza Mousavian, Jakrapong Orapin, Apisan Chinanuvathana, Lew C Schon
A new technique in spring ligament reconstruction using medial half of posterior tibial tendon is demonstrated as a means of supporting the arch. In addition a new concept of double bundle PTT reconstruction based on anatomical attachments of original PTT is presented with the goal of obtaining the full function of PTT.
May 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28615108/kinematics-of-different-components-of-the-posterolateral-corner-of-the-knee-in-the-lateral-collateral-ligament-intact-state-a-human-cadaveric%C3%A2-study
#15
Christoph Domnick, Karl-Heinz Frosch, Michael J Raschke, Nils Vogel, Martin Schulze, Mathias von Glahn, Tobias C Drenck, Mirco Herbort
PURPOSE: To determine the static stabilizing effects of different anatomical structures of the posterolateral corner (PLC) of the knee in the lateral collateral ligament (LCL)-intact state. METHODS: Thirteen fresh-frozen human cadaveric knees were dissected and tested using an industrial robot with an optical tracking system. Kinematics were determined for 134 N anterior/posterior loads, 10 N m valgus/varus loads, and 5 N m internal/external rotatory loads in 0°, 20°, 30°, 60°, and 90° of knee flexion...
June 11, 2017: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/28606122/anterior-tibial-curved-cortex-is-a-reliable-landmark-for-tibial-rotational-alignment-in-total-knee-arthroplasty
#16
Joong Il Kim, Jak Jang, Ki Woong Lee, Hyuk Soo Han, Sahnghoon Lee, Myung Chul Lee
BACKGROUND: Rotational alignment of the tibial component is important for long-term success of total knee arthroplasty (TKA). This study aimed to compare five axes in normal and osteoarthritic (OA) knees to determine a reliable landmark for tibial rotational alignment in TKA. METHODS: One hundred twenty patients with OA knees and 40 with normal knees were included. The angle between a line perpendicular to the surgical transepicondylar axis and each of five axes were measured on preoperative computed tomography...
June 12, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28580249/endoscopic-adhesiolysis-of-flexor-hallucis-longus-muscle
#17
Tun Hing Lui
Adhesion of the flexor hallucis longus (FHL) muscle to the distal tibia can occur after distal tibial fracture, distal fibular fracture, low tibial osteotomy, soft-tissue injury at the posterior ankle, subclinical compartment syndrome of the distal deep posterior compartment of the leg, or Volkmann contracture after deep posterior compartment syndrome of the leg. The purpose of this Technical Note is to report the endoscopic approach of FHL muscle adhesiolysis. It is indicated in patients with symptomatic adhesion of the FHL muscle and contraindicated if there is entrapment of the FHL muscle or tendon in the fracture callus or if there is extensive fibrosis and contracture of the FHL muscle as a result of Volkmann contracture after deep posterior compartment syndrome of the leg...
April 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28580244/arthroscopic-technique-for-isolated-posterolateral-rotational-instability-of-the-knee
#18
Yasuo Ohnishi, Cecilia Pascual-Garrido, Hiroto Kumagae, Akinori Sakai, Soshi Uchida
Isolated posterolateral corner injury is an uncommon injury that could be a source of unexplained knee pain and dysfunction. Most of these patients present instability caused by concomitant ligament injuries. Numerous studies have shown open approach posterolateral repair or reconstruction surgeries to restore posterolateral rotational stability. Still, there is a certain population of patients who present posterolateral rotation instability without significant injury to the fibular collateral ligament, popliteal fibular ligament, and popliteus tendon...
April 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28576192/subtalar-joint-arthrodesis-for-elective-and-posttraumatic-foot-and-ankle-deformities
#19
REVIEW
Lawrence A DiDomenico, Danielle N Butto
Subtalar joint arthrodesis is a procedure used in posttraumatic arthritis, osteoarthritis, tarsal coalition management, posterior tibial tendon dysfunction, and inflammatory arthropathies, and can be used in deformity correction. The goals of the procedure are to eliminate pain, improve function, restore stability, and realign the hind foot. The procedure has high patient satisfaction with low complications while preserving motion in adjacent tarsal joints. Joint preparation is important and time should be spent preparing the joint for successful arthrodesis and the fixation construct needs to be done well and effectively to provide a solid Arbeitsgemeinschaft für Osteosynthesefragen (AO) construct for good results...
July 2017: Clinics in Podiatric Medicine and Surgery
https://www.readbyqxmd.com/read/28567341/technical-note-anterior-cruciate-ligament-reconstruction-in-the-presence-of-an-intramedullary-femoral-nail-using-anteromedial-drilling
#20
Matthew Lacey, Joseph Lamplot, Kempland C Walley, Joseph P DeAngelis, Arun J Ramappa
AIM: To describe an approach to anterior cruciate ligament (ACL) reconstruction using autologous hamstring by drilling via the anteromedial portal in the presence of an intramedullary (IM) femoral nail. METHODS: Once preoperative imagining has characterized the proposed location of the femoral tunnel preparations are made to remove all of the hardware (locking bolts and IM nail). A diagnostic arthroscopy is performed in the usual fashion addressing all intra-articular pathology...
May 18, 2017: World Journal of Orthopedics
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